Timantha D Booth, PA is a medicare enrolled "Physician Assistant" in Adel, Georgia. She went to Mercer University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tift Regional Health System Inc and her current practice location is
172 Mj Taylor Rd, Adel, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 896-3424.
Timantha D Booth is licensed to practice in Georgia (license number 005888) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265748867.
Provider's Profile
| Full Name | Timantha D Booth |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 172 Mj Taylor Rd, Adel, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timantha D Booth attended and graduated from Mercer University School Of Medicine in 2010
NPI Data:
- NPI Number: 1265748867
- Provider Enumeration Date: 08/20/2010
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577744465
- Enrollment ID: I20110225000107
Medical Identifiers
Medical identifiers for Timantha D Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265748867 | NPI | - | NPPES |
| 005888 | Other | GA | 005888 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 005888 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tift Regional Health System Inc | 2062745169 | 278 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timantha D Booth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timantha D Booth, PA
907 18th St E Ste 400,
Tifton, GA 31794-3684
Ph: (229) 353-3422 | Timantha D Booth, PA
172 Mj Taylor Rd,
Adel, GA 31620-3497
Ph: (229) 896-3424 |
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